| NPI | 1598928947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PR 9254) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PR 001112) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2008-07-07 |